2/13/17 DURRANT Skin and soft TIssue infection TEST #2 Flashcards
What is the first line of defense for soft tissue infections?
-Intact skin (physical barrier)
_____ of skin structures permit microbial invasion?
-Ducts
T/F Trauma can also permit microbial invasion.
-True
What are the four medical terms that are used to describe soft tissue infections?
- Rubor
- Calor
- Tumor
- Dolor
What are five things you might see on a physical examination of a soft tissue infection?
- Crepitus
- Necrosis
- Fluctuance
- Purpura
- Bullae
What are six other disease that can mimic Skin and Soft tissue infections?
- Gout
- Thrombophlebitis
- Deep vein thrombosis
- Contact dermatitis (example latex allergy)
- Drug eruption
- Foreign body reaction
What is the number one bacteria that causes folliculitis?
-Staph aureus
What organism causes hot tub folliculitis?
-Pseudomonas aerguinosa
What is the basic treatment for folliculitis?
- Soap and water
- Topical antibiotics
What is a common cause of acne?
-Propionibacterium acnes
T/F Staph aureus can cause acne
True
Where does propionbacterium acnes multiply in?
-Sebum trapped in follicles/glands
What is the most common cause of soft tissue abscesses?
-Staph aureus
When you have a soft tissue abscess what causes local superficial cellulitis?
Bacteria
When you have necrose/liquefy tissue in a soft tissue abscess what does that consist of?
- Cellular debris
- WBCs (pus)
What do you do to treat soft tissue abscesses?
- Incision and drainage
- Systemic antibiotics
T/F Soft tissue abscesses are often polymicrobial
True
What is an abscess in the area of a hair follicle also known as a boil?
-Furuncle
What is a multiloculated abscess?
-Carbuncle
When you have a carbuncle where can the infection spread to?
-Subcutaneous tissue
What is the treatment of a carbuncle?
- Incision
- Drainage
What is the disease of an enzyme producing bacteria that digest fascial barrier, and cause tissue necrosis?
-Necrotizing fasciitis
What is the main cause of necrotizing fasciitis?
-Group A strep
T/F Only gram + bacilli create spores
True
What is a polymicrobial infection of the genitals and perineum called?
-Fournier’s gangrene
What is the hallmark finding of necrotizing fasciitis?
-Huge amount of pain compared to exam findings
What is the most common pathogen found in surgical wounds?
-Staph aureus
What is the gram stain of staph aureus?
-Gram + cocci in clusters